Insurance and Referral Codes

Find your care

You can trust UCLA Health to deliver an accurate diagnosis and outstanding care using the latest advances in nuclear medicine. Call 310-794-1005 to connect with an expert.

UCLA System care providers are encouraged to use the CareConnect electronic system for ordering exams whenever possible. Additionally, a traditional form and fax system can be utilized by all care providers.

PET/CT requisition

Nuclear Medicine requisition

Please refer to the attached document when requesting insurance authorizations or submitting referrals. The document provides the appropriate CPT codes, HCPCS codes, and the number of required visits for all Nuclear Medicine and PET/CT procedures.           

If you have any further questions please contact one of the following:

Nadine Marshall at (310) 983-3190   

Westwood Scheduling (310) 794-1005  

Santa Monica Scheduling (424) 259-6124

Insurance & Referral Information